论文部分内容阅读
目的探讨经食管超声心动图(TEE)引导外科微创封堵儿童肌部室间隔缺损中的应用价值。方法 20例患儿经胸超声心动图(TTE)诊断为肌部室间隔缺损,11例合并其他先天性心脏病。在TEE监测下,引导外科医师释放肌部室间隔缺损堵闭器。结果 TEE在术前、术中及术后指导外科微创封堵过程,20例患儿均封堵成功,3例多发肌部室间隔缺损留有心尖部分流,均<2mm。无其他不良反应。结论经食道超声心动图引导外科微创封堵肌部室间隔缺损创伤小、无辐射、安全高效。
Objective To investigate the value of transesophageal echocardiography (TEE) guided minimally invasive surgical closure of muscular ventricular septal defect in children. Methods Twenty patients with transthoracic echocardiography (TTE) were diagnosed as muscular ventricular septal defect and 11 patients with other congenital heart disease. Under TEE monitoring, the surgeon is instructed to release the muscular ventricular septal defect occluder. Results TEE guided minimally invasive sealing before surgery, intraoperatively and postoperatively. Twenty patients were successfully occluded. Three cases of atrial septal defect with atrial septal defect remained apex flow, both <2 mm. No other adverse reactions. Conclusion Transesophageal echocardiography guided minimally invasive surgery to plug the muscular ventricular septal defect trauma, no radiation, safe and efficient.